Organization
HARVARDMEDICALFACULTYPHYSICIANS AT BETHISRAELDEACONESSMEDICALCENTER IN
Active
Other names
ENT/Surgery - HMFP at BIDMC
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA BOER KIMBALL MD (CEO AND PRESIDENT)
(617) 632-7444
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 632-8366
(617) 632-9150
Mailing address
375 LONGWOOD AVE STE 3B, BOSTON, MA 02215-5395
(617) 632-7444
(617) 632-7570
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9761314
—
MA
Enumeration date
06/08/2006
Last updated
12/05/2024
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